Measurement properties of the musculoskeletal health questionnaire (MSK-HQ): a between country comparison
Abstract Background The Musculoskeletal Health Questionnaire (MSK-HQ) has been developed to measure musculoskeletal health status across musculoskeletal conditions and settings. However, the MSK-HQ needs to be further evaluated across settings and different languages. Objective The objective of the...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-06-01
|
| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12955-020-01455-4 |
| _version_ | 1818314786311503872 |
|---|---|
| author | David Høyrup Christiansen Gareth McCray Trine Nøhr Winding Johan Hviid Andersen Kent Jacob Nielsen Sven Karstens Jonathan C. Hill |
| author_facet | David Høyrup Christiansen Gareth McCray Trine Nøhr Winding Johan Hviid Andersen Kent Jacob Nielsen Sven Karstens Jonathan C. Hill |
| author_sort | David Høyrup Christiansen |
| collection | DOAJ |
| description | Abstract Background The Musculoskeletal Health Questionnaire (MSK-HQ) has been developed to measure musculoskeletal health status across musculoskeletal conditions and settings. However, the MSK-HQ needs to be further evaluated across settings and different languages. Objective The objective of the study was to evaluate and compare measurement properties of the MSK-HQ across Danish (DK) and English (UK) cohorts of patients from primary care physiotherapy services with musculoskeletal pain. Methods MSK-HQ was translated into Danish according to international guidelines. Measurement invariance was assessed by differential item functioning (DIF) analyses. Test-retest reliability, measurement error, responsiveness and minimal clinically important change (MCIC) were evaluated and compared between DK (n = 153) and UK (n = 166) cohorts. Results The Danish version demonstrated acceptable face and construct validity. Out of the 14 MSK-HQ items, three items showed DIF for language (pain/stiffness at night, understanding condition and confidence in managing symptoms) and three items showed DIF for pain location (walking, washing/dressing and physical activity levels). Intraclass Correlation Coefficients for test-retest were 0.86 (95% CI 0.81 to 0.91) for DK cohort and 0.77 (95% CI 0.49 to 0.90) for the UK cohort. The systematic measurement error was 1.6 and 3.9 points for the DK and UK cohorts respectively, with random measurement error being 8.6 and 9.9 points. Receiver operating characteristic (ROC) curves of the change scores against patients’ own judgment at 12 weeks exceeded 0.70 in both cohorts. Absolute and relative MCIC estimates were 8–10 points and 26% for the DK cohort and 6–8 points and 29% for the UK cohort. Conclusions The measurement properties of MSK-HQ were acceptable across countries, but seem more suited for group than individual level evaluation. Researchers and clinicians should be aware that some discrepancy exits and should take the observed measurement error into account when evaluating change in scores over time. |
| first_indexed | 2024-12-13T08:55:10Z |
| format | Article |
| id | doaj.art-b592c57fd3e3480495df25ecb9a15ebd |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-13T08:55:10Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-b592c57fd3e3480495df25ecb9a15ebd2022-12-21T23:53:18ZengBMCHealth and Quality of Life Outcomes1477-75252020-06-0118111110.1186/s12955-020-01455-4Measurement properties of the musculoskeletal health questionnaire (MSK-HQ): a between country comparisonDavid Høyrup Christiansen0Gareth McCray1Trine Nøhr Winding2Johan Hviid Andersen3Kent Jacob Nielsen4Sven Karstens5Jonathan C. Hill6Occupational Medicine, Danish Ramazzini Centre, Regional Hospital West Jutland - University Research ClinicSchool of Primary, Community and Social Care, Keele UniversityOccupational Medicine, Danish Ramazzini Centre, Regional Hospital West Jutland - University Research ClinicOccupational Medicine, Danish Ramazzini Centre, Regional Hospital West Jutland - University Research ClinicOccupational Medicine, Danish Ramazzini Centre, Regional Hospital West Jutland - University Research ClinicDepartment of Computer Science; Therapeutic Sciences, Trier University of applied SciencesSchool of Primary, Community and Social Care, Keele UniversityAbstract Background The Musculoskeletal Health Questionnaire (MSK-HQ) has been developed to measure musculoskeletal health status across musculoskeletal conditions and settings. However, the MSK-HQ needs to be further evaluated across settings and different languages. Objective The objective of the study was to evaluate and compare measurement properties of the MSK-HQ across Danish (DK) and English (UK) cohorts of patients from primary care physiotherapy services with musculoskeletal pain. Methods MSK-HQ was translated into Danish according to international guidelines. Measurement invariance was assessed by differential item functioning (DIF) analyses. Test-retest reliability, measurement error, responsiveness and minimal clinically important change (MCIC) were evaluated and compared between DK (n = 153) and UK (n = 166) cohorts. Results The Danish version demonstrated acceptable face and construct validity. Out of the 14 MSK-HQ items, three items showed DIF for language (pain/stiffness at night, understanding condition and confidence in managing symptoms) and three items showed DIF for pain location (walking, washing/dressing and physical activity levels). Intraclass Correlation Coefficients for test-retest were 0.86 (95% CI 0.81 to 0.91) for DK cohort and 0.77 (95% CI 0.49 to 0.90) for the UK cohort. The systematic measurement error was 1.6 and 3.9 points for the DK and UK cohorts respectively, with random measurement error being 8.6 and 9.9 points. Receiver operating characteristic (ROC) curves of the change scores against patients’ own judgment at 12 weeks exceeded 0.70 in both cohorts. Absolute and relative MCIC estimates were 8–10 points and 26% for the DK cohort and 6–8 points and 29% for the UK cohort. Conclusions The measurement properties of MSK-HQ were acceptable across countries, but seem more suited for group than individual level evaluation. Researchers and clinicians should be aware that some discrepancy exits and should take the observed measurement error into account when evaluating change in scores over time.http://link.springer.com/article/10.1186/s12955-020-01455-4Patient reported outcomesUsabilityPsychometricsResponsivenessInterpretability |
| spellingShingle | David Høyrup Christiansen Gareth McCray Trine Nøhr Winding Johan Hviid Andersen Kent Jacob Nielsen Sven Karstens Jonathan C. Hill Measurement properties of the musculoskeletal health questionnaire (MSK-HQ): a between country comparison Health and Quality of Life Outcomes Patient reported outcomes Usability Psychometrics Responsiveness Interpretability |
| title | Measurement properties of the musculoskeletal health questionnaire (MSK-HQ): a between country comparison |
| title_full | Measurement properties of the musculoskeletal health questionnaire (MSK-HQ): a between country comparison |
| title_fullStr | Measurement properties of the musculoskeletal health questionnaire (MSK-HQ): a between country comparison |
| title_full_unstemmed | Measurement properties of the musculoskeletal health questionnaire (MSK-HQ): a between country comparison |
| title_short | Measurement properties of the musculoskeletal health questionnaire (MSK-HQ): a between country comparison |
| title_sort | measurement properties of the musculoskeletal health questionnaire msk hq a between country comparison |
| topic | Patient reported outcomes Usability Psychometrics Responsiveness Interpretability |
| url | http://link.springer.com/article/10.1186/s12955-020-01455-4 |
| work_keys_str_mv | AT davidhøyrupchristiansen measurementpropertiesofthemusculoskeletalhealthquestionnairemskhqabetweencountrycomparison AT garethmccray measurementpropertiesofthemusculoskeletalhealthquestionnairemskhqabetweencountrycomparison AT trinenøhrwinding measurementpropertiesofthemusculoskeletalhealthquestionnairemskhqabetweencountrycomparison AT johanhviidandersen measurementpropertiesofthemusculoskeletalhealthquestionnairemskhqabetweencountrycomparison AT kentjacobnielsen measurementpropertiesofthemusculoskeletalhealthquestionnairemskhqabetweencountrycomparison AT svenkarstens measurementpropertiesofthemusculoskeletalhealthquestionnairemskhqabetweencountrycomparison AT jonathanchill measurementpropertiesofthemusculoskeletalhealthquestionnairemskhqabetweencountrycomparison |